"I'll admit I may have seen better days, but I'm still not to be had for the price of a cocktail, "(Margo Channing)
Angel
An Arm Through The Catflap
Enjoy
Suo-Gan
Tell us the one about………
Christmas 1985
Through a succession of faceless maisonettes, we sat on grubby sofas and listened to sad stories of loneliness, mental illness and substance abuse and I watched as my mentor tried her best to keep heads above water and bums out of the local psychiatric unit.
The last visit of the day was to a woman called Jean.
Jean lived alone in the top of a ten story complex. She had suffered from severe mental health problems for forty years and had recently been placed in her home from long term psychiatric care only a few months before.
I remember her flat very well. There was no carpet in the hall and the living room but there was a tiny white tinsel Christmas tree standing on top of a large black and white tv. A homemade fabric stocking was hung on the fire surround and just two Christmas cards were perched on the mantle.
( one of those cards having been sent by my colleague) The flat was sparse but incredibly clean and it was evident that Jean had been waiting for our visit all day.
In mismatching cups we were offered coffee with powdered milk and a single mince pie served on a paper plate and I remember sharing a sad glance with the nurse when Jean presented us both with gifts hastily wrapped in cheap Christmas paper. My gift was two placemats with photos of cats on them. The nurse received a small yellow vase, and I remember Jean beaming with delight when we both thanked her effusively for her kindness.
When we washed up our own cups, the nurse quietly checked the fridge, noting that several of the shelves were empty . There was a calender on the wall with the note " NURSE COMES TODAY" written on that day's date. Nothing else was written on it until the week of new year's eve, where the same sentence was written.
It was the very first time that I had experienced someone who was so totally isolated in a community setting and it shocked me to the core.
Before we left, we let Jean monopolize her only conversation of the week and as she retrieved our coats, I watched and grew a few years older as the nurse silently slipped a five pound note behind one of the cards on the mantle.
Note
Andrew
My brother died just as December showed its cold face in 2011
Twelve Years Ago
I used to care for my brother every Thursday daytime. He was confined mostly to bed then, with a bubbling tracheostomy and the cruelty that is motor Neurone disease.
My presence was more a confidence boost for my sister in law , so she felt content to leave the house for a days' shopping and apart from the occasional meds round and tracheal suction my day would be peaceful as the dogs would run amok in the garden as my brother slept or watched crap tv.
I remember one afternoon he had a coughing fit and needed his tracheostomy inner tube changed and his airways cleared .
To me this procedure is second nature but that day my brother had become irritated and difficult.
He was angry, and had no voice and as I fiddled with the tubes and catheters his eyes flashed red with anger
Moments later he slapped my hand hard as I reached forward with a suction catheter and shocked and suddenly upset I paused for just one second and said a slightly exasperated " I'm sorry"
I remember my brother closing his eyes and flopping back on his pillow as I finished the procedure and without saying anything more I cleaned up the equipment and busied myself with task orientation.
I was ten years younger than my brother and we couldn't be more different in personality if we tried.
I knew I would often irritate him but I never quite knew just why that was.
Initially the gay thing was an issue , but I knew it wasn't really that that irritated him now.
It was more me, my personality and I get that, me coupled with hidden sibling rivalry so often experienced between brothers.
I felt that slap long long after it had happened though
And I remembered my training too on spinal injuries as I watched bulldog Mabel bounce around the edge of the pond. The pond she would fall into a week later
Training which said Internal anger was so much harder to deal with than external anger.
This memory is over twelve years old now. I had to look it up on Going Gently finding the post where Mabel finally swan dived into the pond like Shelley Winters in The Poseidon Adventure
See
https://disasterfilm.blogspot.com/2011/11/sock-down-trouser-leg.html
But I suddenly remembered it as though it was yesterday.
I also remember how the afternoon ended as an hour or two later when I went to check on my brother he gestured to a crappy quiz programme on the tv.
It was our habit to watch it together with me inanely shouting out the answers
And he gestured for me to sit to do the same
There was no need to revisit the burst of anger
It was there and it was out,
And it was finished with.
Cheers
She was, opinionated and racist, in that old fashioned sort of way that made you smile at her rather than it provoking an angry response towards her, and she had spent her life of privilege in colonial Malaya , for 40 years pickled in pink gin.
God knows just why she had been admitted to the unit. She was far too long in the tooth at 83 to successfully give up alcohol, even I as a student realised that fact, but I suspect that she had been "encouraged " to enter rehab for a formal assessment, as it was suspected that she was suffering from the start of Korsakoff’s dementia.
People suffering from Korsakoff's dementia lack vitamin B 1 due to their alcoholism, and treatment , as I recall is a combination of vitamin supplements, good nutrition and plenty of rest in addition to the "talking therapies" which aim to explore the cause of their drinking behaviour.
"Talking Therapy" was not something that Sylvia took too seriously as I recall
People that have Korsakoff's, often have great gaps in their memory which they cover up with confabulating history accounts.
In one morning group session I remember one Liverpudlian patient asking her just how much she drank before her admission
In her best Maggie Smith delivery Sylvia announced loudly and with some conviction to the group
"If you must know ......I only ever had a few little drinkies after meals!"
The Liverpudlian, missed nothing from her vague reply
"and how many meals a day did you actually have?" he asked with a smile
"34!" Sylvia called out with a triumphant cackle